How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $9.77 Median $11.22 Typical High $11.22 | Facility | None | $9.77 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.22 Typical High $16.60 | Professional | None | $9.77 | $11.22 | $16.60 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | RR · Rental | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $8.32 Typical High $12.30 | Professional | UE · Used equipment | $7.41 | $8.32 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $20.89 | Professional | None | $14.79 | $17.38 | $20.89 |
Emblem Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $26.92 | Professional | None | $16.98 | $16.98 | $26.92 |
Horizon BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | None | $17.38 | $17.38 | $19.95 |
Horizon BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $2.00 | Professional | RR · Rental | $1.74 | $1.74 | $2.00 |
United Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $29.51 | Professional | None | $9.33 | $12.88 | $29.51 |
United Setting Professional Modifier RR · Rental Typical Low $0.93 Median $1.29 Typical High $2.95 | Professional | RR · Rental | $0.93 | $1.29 | $2.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $9.77 Typical High $22.39 | Professional | UE · Used equipment | $7.08 | $9.77 | $22.39 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | MS · Maintenance fee | $1.12 | $1.12 | $1.12 |
Where New Jersey sits
The same service costs 3.1 times more in Kansas than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Jersey· 36th of 51
$17.38
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.